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EXECUTIVE PROGRAMME FOR WORKING PROFESSIONALS BATCH - III (2012 - 13) APPLICATION
APPLICATION FOR: EPWP Source of Information : None - EbpAesictu
1. Name (In Block
Letters)
2. Father’s /
Husband’s Name
3. Date of Birth*
4. State : Select | 5. Sex: Select | Marital Status : M
7. Mailing Address: Very funny pictures
City New York | Pin : omygjS | Mobile : 5890192099 | Email : [email protected]
8. Educational Qualification (In order of X, XII, Graduation, Post Graduation)
Rank / Scholarship
Course Completed
Board / University
% / CGPA received
secured (if any)
9. Total Work Experience (Completed Years & Months as on 01.06.2011) Year : 1985 , Month : 10
10. Work Experience Details:
Number of Years /
Name of Organization
Designation Held
11. Payment Details Mode of Payment : Select
Draft number
How do you propose to finance the fees for EPWP Programme? : AKespzZdCzc
STATEMENT OF PURPOSE
This personal statement is designed to assist the Admissions Selection Committee learn more about you and
your motivation for undertaking the EPWP programme.
(A) What are your current responsibilities and long term professional goals?
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(B) What are your reasons for seeking to undertake the EPWP Programme from XIMB and how will
the course help you achieve your professional goals?
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(C) What strategies will you need to implement in order to meet the demands of the rigorous EPWP
Programme?
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(D) What are your most significant work achievements and how did you accomplish them?
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Signature
Date Dear Logan, your application has been processed to the Admission Office of EPWP. Your registration
number is REF01764. Kindly follow the below mentioned steps to complete the application procedure:
Next Steps:
• Please print this application form and send it across to Alethia Head office along with DD of Rs. 1000/- in favor of "Xavier Institute of Management" payable at Bhubaneswar.
• The completed application form should reach to "Alethia Education Services Pvt. Ltd. M-23, first Floor, Old DLF Colony, Sector 14, Gurgaon – 122001 (Haryana), India. Mobile : 9999390555. • The envelope should super scribed "Application for admission to EPWP III." Required Documents with application
• SOP must be written on hardcopy of Application form 1. What are your current responsibilities and long term professional goals? 2. What are your reasons for seeking to undertake the EPWP Program from XIMB and how will the course help you achieve your professional goals? 3. What strategies will you need to implement in order to meet the demands of the rigorous EPWP 4. What are your most significant work achievements and how did you accomplish them? • Copies of all academic records (12th std. mark sheet, Graduation / Post Graduation certificate) • Professional records (Experience certificates) • Passport size photos – 2 • Two self addressed (in BLOCK letters) stickers You will be soon informed about dates of interviews and other details. If you have any query please send an email to [email protected] or call 09999390555
Alethia Education Services

Source: http://www.alethiaeducation.com/ximb-epwp-form/REF01764.pdf